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CONTAINS CONFIDENTIAL PATIENT INFORMATION Citrate lozenge Prior Authorization of Benefits (PAB) Form Complete form in its entirety and fax to: Prior Authorization of Benefits Center at (800) 3579577
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How to fill out citrate lozenge:

01
First, carefully read the instructions provided with the citrate lozenge. It is important to understand the dosage and usage guidelines before proceeding.
02
Open the packaging of the citrate lozenge and remove one lozenge from the pack. Make sure to handle it properly and avoid touching the lozenge with your fingers to maintain hygiene.
03
Place the citrate lozenge on your tongue and let it dissolve slowly. Do not chew or swallow the lozenge whole, as it is meant to be dissolved in your mouth.
04
It is recommended to avoid eating or drinking for at least 15 minutes after taking the citrate lozenge to allow for proper absorption.
05
If you are unsure about the dosage or have any concerns, it is advisable to consult a healthcare professional before using the citrate lozenge.

Who needs citrate lozenge:

01
People with low citrate levels: Individuals who have been diagnosed with low levels of citrate in their body may benefit from using citrate lozenges. Citrate is an essential compound that aids in various bodily functions, including kidney health.
02
Individuals prone to kidney stones: Citrate lozenges can be particularly helpful for individuals who have a history of kidney stones. Citrate helps prevent the formation of certain types of kidney stones by inhibiting the crystallization process.
03
Athletes and physically active individuals: Citrate lozenges are also commonly used by athletes or those engaging in rigorous physical activities. The citrate can help improve exercise performance by enhancing muscle function and reducing muscle fatigue.
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Individuals following specific diets: Some dietary restrictions or certain medical conditions may require individuals to consume citrate lozenges. For example, people on low-sodium diets or those with specific metabolic disorders may be advised to incorporate citrate lozenges into their daily routine.
05
Patients under medical supervision: In certain cases, healthcare professionals may prescribe citrate lozenges as part of a treatment plan to address specific health concerns. It is crucial to follow the guidance of your healthcare provider when using citrate lozenges.
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Citrate lozenge is a small tablet that dissolves slowly in the mouth to release medication or nutrients.
Citrate lozenges are typically not filed, but rather consumed as needed.
Citrate lozenges do not require filling out, they are simply taken orally.
The purpose of citrate lozenge is to provide a convenient and effective way to administer medication or nutrients.
There is no specific information that needs to be reported on a citrate lozenge, as it is a dosage form.
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